Individual provider Active NPI

Sabrina Overbay

  • Early Intervention Provider Agency
  • Longwood, FL
National Provider Identifier
1831686195
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Practice address
141 Parsons Rd
Longwood, FL 32779-2748
Phone
(407) 314-1865
NPI assigned
Apr 21, 2018
Reactivated
Dec 14, 2018
Last updated
Dec 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

141 Parsons Rd
Longwood, FL 32779-2748

Mailing address

141 Parsons Rd
Longwood, FL 32779-2748

Other identifiers 1

IdentifierTypeStateIssuer
1831686195MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1831686195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PARSONS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PARSONS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792748",
            "telephone_number": "407-314-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBAY",
        "first_name": "SABRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-21",
        "last_updated": "2018-12-14",
        "deactivation_date": "2018-11-26",
        "reactivation_date": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831686195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.